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<title>会员中心-订单管理-申请退款</title>
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  <div class="h"> <a class="h-b" href="javascript:history.back()"><!--返回--></a> <span class="h-ti">基本资料</span><a href="/m.asp?a=u_index"><span class="t-right"></span></a></div>
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    <ul>
      <li class="on"><a href="/m.asp?a=u_dingdan_shenqingtuikuan">申请退款</a></li>
      <li><a href="/m.asp?a=u_dingdan">订单管理</a></li>
      <li><a href="/m.asp?a=plist">商品大全</a></li>
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    <div class="f-con"> <span class="f-blue"></span> 
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	<form action="/m.asp?a=u_dingdan_shenqingtuikuan&action=saveadd&zonger_price=98.00&shjiaid=1&dingdanhao=201511251617191" name="form" method="post" style="margin:0">
	<div class="f-p">
		<label><em>*</em>申请服务:</label>
		<div class="p1">
			<select name="shenqingfuwu" style="width:80%;height:30px;font-size:18px;">
				<option value="1">退货退款</option>
				<option value="2">仅退款</option>
				<option value="3">换货</option>
				<option value="4">维修</option>
			</select>
		</div>
	</div>
	<div class="f-p">
		<label><em>*</em>退款原因:</label>
		<div class="p1">
			<select name="tuikuanyuanyin" style="width:80%;height:30px;font-size:18px;">
				<option value="1">多拍/错拍/不想要</option>
				<option value="2">服务承诺</option>
				<option value="3">性能故障</option>
				<option value="4">功能缺失</option>
				<option value="5">商品少件/破损/污渍等</option>
				<option value="6">功能未达到标准效果</option>
				<option value="7">外观/型号/参数等与描述不符</option>
				<option value="8">假冒品牌</option>
				<option value="9">卖家发错货</option>
				<option value="10">其他</option>
			</select>
		</div>
	</div>
	<div class="f-p">
		<label><em>*</em>退款金额:</label>
		<div class="p1">
			<input id="shenqing_price" maxlength="20" name="shenqing_price" onkeyup="if(isNaN(value))execCommand('undo')" onafterpaste="if(isNaN(value))execCommand('undo')" notnull placeholder="请输入金额,不超过订单总额:{anxinMall:field.zonger}元" style="width:80%;color:black" type="text">
		</div>
	</div>
	<div class="f-p">
		<label><em>*</em>补充说明:</label>
		<div class="p1">
			<textarea name="newsContent" id="newsContent" style="width:80%;height:60px;"></textarea>
		</div>
	</div>

      </div>
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    width: 96%;margin: 18px 2% 8px;height: 40px;line-height: 40px;overflow: hidden;font-size:18px;text-align: center;color: #fff;background: #2163a6;-webkit-border-radius: 5px;border-radius: 5px;" type="submit" name="button" id="button" value=" 提交修改 " />
    <!-- <a class="tj" href="javascript:;" id="memeberspacesubmit">提交修改</a> -->
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